Once the results of the initial PACES an audit have been entered, the PACES project team can start to identify reasons why practice may have fallen short of the standard. This information can then be used to develop a plan for clinical practice improvement in your clinical area. The GRIP module is aimed at establishing inter-professional processes within teams to examine barriers to the utilisation of evidence to support best practice and to assist in developing implementation strategies to overcome these barriers. As such, it is beneficial to include representation of key stakeholder groups in the situational analysis approach embedded in GRIP.
Although it is not recommended, GRIP can be omitted and future audit cycles undertaken.
If using GRIP, a GRiP.
A team set up process is undertaken before commencing with GRIP. The GRIP project lead can be added, type the name, profession and position of the person who has undertaken to be the GRIP project lead. The project lead may be a different person to the audit lead, give consideration as to whom the most appropriate person will be for this role. The GRIP stakeholders can then be added by typing their names, profession and position.
Stakeholders may include administrators, managers, quality improvement, clinicians, policy developers and/or others important to the area of care being investigated.
Once the project lead and stakeholders have been identified and documentedproject leader should be added, select a date to implement action by, and type in stakeholders’ names (and role [optional]).
Click Save once complete.
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GRiP should prompt users to carefully think through the compliance results for every audit criterion, discuss these with their team/relevant staff, and prioritise the criteria and decide which to action, and which to park. This should then facilitate identification of barriers, enablers and strategies that link to each other.
To do this in PACES, click +Add Analysis.
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For every analysis (multiple analyses can be created), users select an audit criterion, or multiple criteria (as shown below) if they have similar barriers. Click Update
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Add a barrier for the selected audit criterion/criteria by clicking Create new
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You are able to indicate a domain or category for your identified barrier, link to a resource document, or add an attachment. You can also view and export the GRIP summary, either in a .pdf or docx.
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In the same way, you can add an enabler , selecting the type and a strategy for addressing the barrier, indicate the domain/category, and add a description with a link to a resource.Lastly you can nominate a particular strategy, selecting the type and add a description with a link to a resource.
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You can add as many barriers, enablers and strategies using the same process.
To add more analyses for different audit criteria, click the +Add Analysis on the right hand side.
By clicking the three dot icon on the right hand side, you are able to rename or delete the analysis you created.
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Any questions? Please visit the JBI Help Desk for PACES support